Pediatric Kidney Biopsies in Oman: A Retrospective Study

Objectives: To determine the spectrum of kidney diseases in Omani children < 13 years of age and to evaluate the complications following kidney biopsy. Methods: This study retrospectively investigated the hospital data of children who underwent kidney biopsies from January 2014 to June 2019 at Royal Hospital, Muscat, Oman. Results: The subjects comprised of 78 children with a median age of 8.0 years (range = 0–13 years). Histopathology showed minimal change disease in 15 (19.2%) children, lupus nephritis in 13 (16.7%), and focal segmental glomerulosclerosis in 13 (16.7%). The most common post-biopsy complications were pain that required analgesia (38; 49.4%) followed by gross hematuria (10; 13.0%). No patient required blood transfusion or surgical intervention. Conclusions: Minimal change disease was the most common histopathological finding in this cohort of Omani children. The records did not mention any major complications following the renal biopsy procedure

Organosulfates in Atlanta, Georgia: anthropogenic influences on biogenic secondary organic aerosol formation

Organosulfates are secondary organic aerosol (SOA) products that form from reactions of volatile organic compounds (VOC), such as isoprene, in the presence of sulfate that is primarily emitted by fossil fuel combustion. This study examines the anthropogenic influence on biogenic organosulfate formation at an urban site in Atlanta, Georgia (GA) in the southeastern United States (US). Organosulfates were analyzed in fine particulate matter (PM2.5) collected during August 2015 in Atlanta using hydrophilic interaction liquid chromatography (HILIC), tandem mass spectrometry (MS/MS), and high-resolution time-of-flight (ToF) mass spectrometry. By their MS/MS response, 32 major organosulfate species were identified, selected species were quantified, and other species were semi-quantified using surrogate standards. Organosulfates accounted for 16.5&thinsp;% of PM2.5 organic carbon (OC). Isoprene-derived organosulfates were the most abundant, dominated by methyltetrol sulfate which accounted for 12.6&thinsp;% of PM2.5 OC. Together, the isoprene-derived organosulfates accounted for the majority of the isoprene-derived SOA that had been previously observed in Atlanta, but had not been identified at the molecular level. Other major species included seven monoterpene-derived organosulfates, five diesel and/or biodiesel-derived organosulfates, and three new organosulfates that are also expected to derive from isoprene. Organosulfate species and concentrations in Atlanta were compared to those in a rural forested site in Centreville, Alabama (AL) during summer 2013, which were also dominated by isoprene-derived organosulfates. In Atlanta, isoprene-derived organosulfate concentrations were 2–6 times higher and accounted for twice as much OC. The greatest enhancement in concentration was observed for 2-methylglyceric acid sulfate whose formation is enhanced in the presence of nitrogen oxides (NO and NO2; NOx) and is a tracer for isoprene high-NOx SOA. The isoprene-derived organosulfates indicated a stronger influence of NOx in Atlanta compared to Centreville. Overall, these results suggest that SOA in the southeastern US can be reduced by controlling NOx and SO2 emissions from fossil fuel combustion. This study gives insights into the major organosulfate species that should be targets for future measurements in urban environments and standard development.</p

Source apportionment of fine particulate matter in Houston, Texas: insights to secondary organic aerosols

Online and offline measurements of ambient particulate matter (PM) near the urban and industrial Houston Ship Channel in Houston, Texas, USA, during May 2015 were utilized to characterize its chemical composition and to evaluate the relative contributions of primary, secondary, biogenic, and anthropogenic sources. Aerosol mass spectrometry (AMS) on nonrefractory PM1 (PM  ≤  1&thinsp;µm) indicated major contributions from sulfate (averaging 50&thinsp;% by mass), organic aerosol (OA, 40&thinsp;%), and ammonium (14&thinsp;%). Positive matrix factorization (PMF) of AMS data categorized OA on average as 22&thinsp;% hydrocarbon-like organic aerosol (HOA), 29&thinsp;% cooking-influenced less-oxidized oxygenated organic aerosol (CI-LO-OOA), and 48&thinsp;% more-oxidized oxygenated organic aerosol (MO-OOA), with the latter two sources indicative of secondary organic aerosol (SOA). Chemical analysis of PM2.5 (PM  ≤  2.5&thinsp;µm) filter samples agreed that organic matter (35&thinsp;%) and sulfate (21&thinsp;%) were the most abundant components. Organic speciation of PM2.5 organic carbon (OC) focused on molecular markers of primary sources and SOA tracers derived from biogenic and anthropogenic volatile organic compounds (VOCs). The sources of PM2.5 OC were estimated using molecular marker-based positive matric factorization (MM-PMF) and chemical mass balance (CMB) models. MM-PMF resolved nine factors that were identified as diesel engines (11.5&thinsp;%), gasoline engines (24.3&thinsp;%), nontailpipe vehicle emissions (11.1&thinsp;%), ship emissions (2.2&thinsp;%), cooking (1.0&thinsp;%), biomass burning (BB, 10.6&thinsp;%), isoprene SOA (11.0&thinsp;%), high-NOx anthropogenic SOA (6.6&thinsp;%), and low-NOx anthropogenic SOA (21.7&thinsp;%). Using available source profiles, CMB apportioned 41&thinsp;% of OC to primary fossil sources (gasoline engines, diesel engines, and ship emissions), 5&thinsp;% to BB, 15&thinsp;% to SOA (including 7.4&thinsp;% biogenic and 7.6&thinsp;% anthropogenic), and 39&thinsp;% to other sources that were not included in the model and are expected to be secondary.This study presents the first application of in situ AMS-PMF, MM-PMF, and CMB for OC source apportionment and the integration of these methods to evaluate the relative roles of biogenic, anthropogenic, and BB-SOA. The three source apportionment models agreed that  ∼ &thinsp;50&thinsp;% of OC is associated with primary emissions from fossil fuel use, particularly motor vehicles. Differences among the models reflect their ability to resolve sources based upon the input chemical measurements, with molecular marker-based methods providing greater source specificity and resolution for minor sources. By combining results from MM-PMF and CMB, BB was estimated to contribute 11&thinsp;% of OC, with 5&thinsp;% primary emissions and 6&thinsp;% BB-SOA. SOA was dominantly anthropogenic (28&thinsp;%) rather than biogenic (11&thinsp;%) or BB-derived. The three-model approach demonstrates significant contributions of anthropogenic SOA to fine PM. More broadly, the findings and methodologies presented herein can be used to advance local and regional understanding of anthropogenic contributions to SOA.</p

Gaps in Capacity in Primary Care in Low-Resource Settings for Implementation of Essential Noncommunicable Disease Interventions

Objective. The objective was to evaluate the capacity of primary care (PC) facilities to implement basic interventions for prevention and management of major noncommunicable diseases (NCDs), including cardiovascular diseases and diabetes. Methods. A cross-sectional survey was done in eight low- and middle-income countries (Benin, Bhutan, Eritrea, Sri Lanka, Sudan, Suriname, Syria, and Vietnam) in 90 PC facilities randomly selected. The survey included questions on the availability of human resources, equipment, infrastructure, medicines, utilization of services, financing, medical information, and referral systems. Results and Conclusions. Major deficits were identified in health financing, access to basic technologies and medicines, medical information systems, and the health workforce. The study has provided the foundation for strengthening PC to address noncommunicable diseases. There are important implications of the findings of this study for all low- and middle-income countries as capacity of PC is fundamental for equitable prevention and control of NCDs

May Measurement Month 2018: a pragmatic global screening campaign to raise awareness of blood pressure by the International Society of Hypertension

Aims Raised blood pressure (BP) is the biggest contributor to mortality and disease burden worldwide and fewer than half of those with hypertension are aware of it. May Measurement Month (MMM) is a global campaign set up in 2017, to raise awareness of high BP and as a pragmatic solution to a lack of formal screening worldwide. The 2018 campaign was expanded, aiming to include more participants and countries. Methods and results Eighty-nine countries participated in MMM 2018. Volunteers (≥18 years) were recruited through opportunistic sampling at a variety of screening sites. Each participant had three BP measurements and completed a questionnaire on demographic, lifestyle, and environmental factors. Hypertension was defined as a systolic BP ≥140 mmHg or diastolic BP ≥90 mmHg, or taking antihypertensive medication. In total, 74.9% of screenees provided three BP readings. Multiple imputation using chained equations was used to impute missing readings. 1 504 963 individuals (mean age 45.3 years; 52.4% female) were screened. After multiple imputation, 502 079 (33.4%) individuals had hypertension, of whom 59.5% were aware of their diagnosis and 55.3% were taking antihypertensive medication. Of those on medication, 60.0% were controlled and of all hypertensives, 33.2% were controlled. We detected 224 285 individuals with untreated hypertension and 111 214 individuals with inadequately treated (systolic BP ≥ 140 mmHg or diastolic BP ≥ 90 mmHg) hypertension. Conclusion May Measurement Month expanded significantly compared with 2017, including more participants in more countries. The campaign identified over 335 000 adults with untreated or inadequately treated hypertension. In the absence of systematic screening programmes, MMM was effective at raising awareness at least among these individuals at risk

Al-Shaheen et al. Data set

The file contains concentrations with uncertainties of the PAHs measured in PM10 samples, diagnostic ratio results to identify the potential sources, risk assessment results (TEQ and MEQ), PAHs ring distribution results, and gas-particle partitioning ratios. These data were used to create all the figures, tables, and other results mentioned in the main textTHIS DATASET IS ARCHIVED AT DANS/EASY, BUT NOT ACCESSIBLE HERE. TO VIEW A LIST OF FILES AND ACCESS THE FILES IN THIS DATASET CLICK ON THE DOI-LINK ABOV

Evaluation of anthropogenic secondary organic aerosol tracers from aromatic hydrocarbons

Products of secondary organic aerosol (SOA) from aromatic volatile organic compounds (VOCs) – 2,3-dihydroxy-4-oxopentanoic acid, dicarboxylic acids, nitromonoaromatics, and furandiones – were evaluated for their potential to serve as anthropogenic SOA tracers with respect to their (1) ambient concentrations and detectability in PM_2.5 in Iowa City, IA, USA; (2) gas–particle partitioning behaviour; and (3) source specificity by way of correlations with primary and secondary source tracers and literature review. A widely used tracer for toluene-derived SOA, 2,3-dihydroxy-4-oxopentanoic acid was only detected in the particle phase (<i>F</i>_p = 1) at low but consistently measurable ambient concentrations (averaging 0.3 ng m⁻³). Four aromatic dicarboxylic acids were detected at relatively higher concentrations (9.1–34.5 ng m⁻³), of which phthalic acid was the most abundant. Phthalic acid had a low particle-phase fraction (<i>F</i>_p =  0.26) likely due to quantitation interferences from phthalic anhydride, while 4-methylphthalic acid was predominantly in the particle phase (<i>F</i>_p = 0.82). Phthalic acid and 4-methylphthalic acid were both highly correlated with 2,3-dihydroxy-4-oxopentanoic acid (<i>r</i>_s = 0.73, <i>p</i> = 0.003; <i>r</i>_s = 0.80, <i>p</i> &lt; 0.001, respectively), suggesting that they were derived from aromatic VOCs. Isophthalic and terephthalic acids, however, were detected only in the particle phase (<i>F</i>_p = 1), and correlations suggested association with primary emission sources. Nitromonoaromatics were dominated by particle-phase concentrations of 4-nitrocatechol (1.6 ng m⁻³) and 4-methyl-5-nitrocatechol (1.6 ng m⁻³) that were associated with biomass burning. Meanwhile, 4-hydroxy-3-nitrobenzyl alcohol was detected in a lower concentration (0.06 ng m⁻³) in the particle phase only (<i>F</i>_p = 1) and is known as a product of toluene photooxidation. Furandiones in the atmosphere have only been attributed to the photooxidation of aromatic hydrocarbons; however the substantial partitioning toward the gas phase (<i>F</i>_p  ≤  0.16) and their water sensitivity limit their application as tracers. The outcome of this study is the demonstration that 2,3-dihydroxy-4-oxopentanoic acid, phthalic acid, 4-methylphthalic acid, and 4-hydroxy-3-nitrobenzyl alcohol are good candidates for tracing SOA from aromatic VOCs